Tekereza ugiye kwa muganga kubera ikibazo runaka cy’uburwayi, bakagupima amaraso. Iyo ubonye raporo mu minsi mike, iyo ubonye amwe mu magambo y’ubuvuzi arimo, twumva dufite ubwoba kandi dufite amatsiko, si byo se? 'Polychromasia' ni rimwe mu magambo nk’ayo. Iri jambo muri raporo yawe si ikintu cyo guhangayikishwa cyangwa gutekerezaho nk’indwara ikomeye. Rigaragaza gusa inzira iri mu mubiri wawe. Rero, uyu munsi turaganira kuri Polychromasia mu by’ukuri, impamvu yandikwa muri raporo, n’icyo ugomba kumenya kuri yo.
Mu magambo make, Polychromasia ni iki?
Polychromasia si indwara. Ni ikintu ubona iyo icyitegererezo cy'amaraso yawe gipimwe muri laboratwari. Muri make, bivuze ko zimwe mu ngirabuzimafatizo zawe zitukura, iyo zipimwe hakoreshejwe irangi ryihariye, zihinduka ibara ry'ubururu n'imvi.
Ubusanzwe, uturemangingo dutukura tw’amaraso dukura mu igufwa, bivuze ko tuba twakuze neza kandi twiteguye kurekurwa mu maraso. Ariko rimwe na rimwe, kubera impamvu runaka, uturemangingo dutukura tw’amaraso dusohora uturemangingo mbere yuko dukura, bivuze ko tuba tutarakura . Mu buvuzi, uturemangingo dutukura tw’amaraso tudakuze twitwa "Reticulocytes." Utwo turemangingo tugira ibara ryihariye kandi tukagaragara nk'ubururu-imvi. Rero, raporo yawe ivuga ko Polychromasia, bivuze ko ufite umubare munini w’utu turemangingo dutukura tudakuze mu maraso yawe.
Kuki ibi bibaho? Impamvu nyamukuru zitera polychromasia
Kugira ngo tubisobanukirwe neza, reka tubanze twige bike ku bijyanye n'uturemangingo tw'amaraso dutukura.
Buri selile n'ingingo zose mu mubiri wacu bikenera ogisijeni kugira ngo bibeho. Uturemangingo dutukura tw'amaraso ni two dutwara ogisijeni y'agaciro tuyivana mu bihaha tuyijyana mu bindi bice by'umubiri. Izi selile zikorerwa mu ruganda rwitwa uturemangingo tw'amagufwa. Zikura neza mu turemangingo tw'amagufwa mu gihe cy'iminsi 7 mbere yuko zijya mu maraso. Ubusanzwe, uturemangingo dutukura tw'amaraso tubaho iminsi igera ku 120. Iyo zipfuye, imisemburo yitwa "Erythropoietin" ikorwa n'impyiko zacu itanga ubutumwa ku turemangingo tw'amagufwa kugira ngo tukore uturemangingo dushya dutukura tw'amaraso kugira ngo twuzuze icyuho.
Ariko, hari indwara zimwe na zimwe zishobora guhungabanya iyi gahunda. Iyo umubiri ukeneye byihutirwa uturemangingo dutukura tw’amaraso, cyangwa iyo umwotsi w’amagufwa ugize ikibazo, uturemangingo tutarakura turarekurwa, tuti “Nta kibazo, nubwo tutararema neza, tuba twiteguye kujya mu maraso.” Ni bwo ubona Polychromasia muri raporo y’amaraso yawe.
Reka turebe impamvu nyamukuru ziri mu mbonerahamwe iri hepfo.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Anemia - cyane cyane Anemia ya Hemolytic | Ikiba muri ibi ni uko uturemangingo dutukura twangirika vuba kurusha uko twakorwa. Ibi bituma umubiri ugira uturemangingo dutukura duke cyane. Kugira ngo habeho ubwo bukene, umwongo w'amagufwa urekura vuba uturemangingo tutarakura mu maraso. Ingero: - Indwara z'ababyeyi bavukana (urugero: Thalassemia, Sickle cell anemia) - Indwara zibaho nyuma (urugero: imiti imwe n'imwe, indwara zandura, kanseri, ingaruka zo gutanga amaraso, indwara ziterwa n'ubwiyongere bw'umubiri nka lupus) |
| Kuva amaraso | Iyo amaraso menshi asohotse mu mubiri, haba bitewe n'igikomere cyangwa kuva amaraso mu mubiri (urugero: mu gifu, mu gituza, cyangwa mu bwonko), umwonko wihutira kuzuza icyuho. Muri icyo gihe, uturemangingo tudakuze na two twinjira mu maraso. |
| Ibibazo by'umusemburo w'amagufwa (metaplasia ya Myeloid) | Iyo umwongo w'amagufwa wangiritse bitewe n'ubwoko bumwe na bumwe bwa kanseri (nka lymphoma na myeloma nyinshi), izindi ngingo, nk'umwijima n'umwongo, zitangira gukora uturemangingo dutukura tw'amaraso. Kubera ko izi ngingo zidashobora gukora uturemangingo dukuze kimwe n'umwongo w'amagufwa, uturemangingo tudakuze twirundanya mu maraso. |
Ni ibihe bimenyetso bishobora kuba bifitanye isano n'ibi?
Igikuru ni uko nta bimenyetso byihariye bya Polychromasia. Kubera ko atari indwara, ni ikintu kigaragara muri raporo ya laboratwari. Ariko, ushobora kugira ibimenyetso bitandukanye bitewe n'indwara yateye Polychromasia.
Ibi bivuze ko ibimenyetso ubona bitaterwa na Polychromasia, ahubwo biterwa no kubura amaraso, kuva amaraso, cyangwa indi ndwara yabiteye.
Dore ibimenyetso bimwe na bimwe bikunze kugaragara:
| Ibimenyetso bisanzwe bishobora kuba bifitanye isano n'indwara zisanzwe | |
|---|---|
| - Umunaniro | - Ubusa |
| - Kugorwa no guhumeka | - Kuzungera |
| - Umuriro | - Ububabare mu magufwa |
| - Kuva amaraso byoroshye cyangwa gukomereka | - Kubyimba umwijima cyangwa urwagashya |
Ibi bishobora gusuzumwa no kuvurwa gute?
Indangamuntu
Polychromasia ipimwa hakoreshejwe ikizamini cyihariye cy’amaraso cyitwa Peripheral Blood Smear . Ibi bisaba gufata igitonyanga gito cy’amaraso yawe ukagishyira ku kirahuri, ukongeraho irangi ryihariye, hanyuma ukagisuzuma ukoresheje mikorosikopi. Ibi bituma muganga amenya neza imiterere, ingano, n’imiterere y’uturemangingo dutukura tw’amaraso, uturemangingo tw’umweru tw’amaraso, na plaquettes mu maraso yawe.
Utu tunyangingo tw’amaraso dutukura tudakuze tuba dufite ikintu cyitwa "aside Ribonucleic - RNA" kurusha utunyangingo dusanzwe. Iyo RNA ikorana n’ibara ry’umukara, bigatuma risa n’ubururu n’imvi.
Uburyo bwo kuvura
Iki ni cyo gice cy'ingenzi cyane. Ijambo polychromasia ntirivurwa. Kuko atari indwara. Uburyo bwo kuvura ni indwara y'ibanze yateye.
Ibi bivuze ko muganga wawe azasuzuma raporo yawe, abaza ibimenyetso byawe, kandi agerageze kumenya icyateye polychromasia yawe. Ashobora kandi gukenera gukora ibindi bipimo.
- Niba impamvu ari umuti, uwo muti ushobora guhindurwa.
- Niba impamvu ari ukubura amaraso, hazatangwa ubuvuzi bukwiye (urugero: ibinini by'icyuma, vitamine, guterwa amaraso nibiba ngombwa).
- Niba impamvu ari ubwandu, izavurwa.
- Iyo impamvu ari indwara ikomeye nka kanseri, umurwayi azoherezwa kwa muganga w’inzobere hanyuma ubuvuzi bukenewe bugatangira.
Impamvu zimwe na zimwe ni iz'igihe gito kandi zishobora gukira burundu hakoreshejwe uburyo bwo kuvura. Zimwe zishobora kuba indwara zidakira zigomba gukemurwa ubuzima bwose. Kubwibyo, ni ngombwa kuganira na muganga wawe kuri raporo yawe no gukurikiza amabwiriza ye neza.
Ubutumwa bwo kujyana mu rugo
- Polychromasia si indwara, ni inyandiko iboneka ku isuzuma ry'amaraso.
- Ibi bivuze ko uturemangingo tw’amaraso dutukura tutaragera mu mubiri twakuwe mu musokoro w’amagufwa yawe.
- Ibi bishobora kuba ikimenyetso cy'indwara runaka (urugero: kubura amaraso, kuva amaraso).
- Ubuvuzi si ubwa Polychromasia, ahubwo ni ubwa nyuma y’indwara yabuteye.
- Niba raporo y'ibipimo by'amaraso yawe igaragaza ikintu nk'iki, ntugatinye kandi ubiganireho na muganga wawe maze ubone inama ikwiye.
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